Surgical Correction of an Accessory Auricle, Polyotia

which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. excess cartilaginous structure and to reconstruct the tragus. The accessory structure was resected in a wedge shape, remaining inferiorly based chondrocutaneous flap. The curved shape of the remaining chondrocutaneous composite flap was perfect for a new tragus (Fig. 2). The goal of the second procedure was to eliminate the concha-resembling cartilaginous bowl. Because of the possibility of variation in the facial nerve course [2], we avoided deep dissection for complete elimination of the cartilaginous component. We elevated the skin flap and only the superficial aspect of the cartilaginous bowl. Then, two quilting sutures using 4-0 prolene were placed to support the collapsed cartilaginous bowl (Fig. 3). The remnant skin flap was excised and trimmed to resemble an ear shape. After the operation and throughout the twelve months of follow-up, there have not been any complications. The patient's left tragus and external auricle have a natural-looking and symmetric appearance (Figs. 4, 5). Since the first report of polyotia by von Bol et al. 1918, no more than thirty cases have been reported worldwide [2,3]. Some cases were diagnosed with other congenital facial anomalies or craniofacial syndromes such as Goldenhar syndrome or Treacher-Collins syndrome [2,3]. In addition, polyotia can present even in patients with normal ear conditions, but sometimes a Polyotia is an extremely rare congenital anomaly of the external auricle. This condition is defined as an accessory auricle that is large enough to closely resemble an additional pinna rather than a skin remnant and cartilage [1]. Polyotia, also known as mirror ear or accessory ear, is a type of ear anomaly in the tragus area, but this term refers to substantial anomalies which resemble an accessory ear, unlike a pre-auricular tag. We report a case in which the patient had a duplicated auricle that was corrected successfully. A 9-year-old boy presented with a large accessory anomalous auricle on his left ear (Fig. 1). His accessory structure was approximately 2.3 × 2.0 cm in size and was composed of an elastic cartilaginous component. This duplicated structure was positioned anteriorly to the original auricle. There was a cartilaginous concave bowl that resembled the conchal hollow of the human ear just behind this duplicated auricular structure. This accessory anomaly was not as large as the patient's external auricle, but it mirrored his left external auricle. One …